Active NPI
Samuel H Bairu, M.D.
- Infectious Disease Physician
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 45091
- Practice address
- 14502 W Meeker Blvd
Physician Is a Hosptialist Only
Sun City West, AZ 85375-5282 - Phone
- (206) 290-2756
- Fax
- (623) 974-9434
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 203365 | LA | |
| Infectious Disease Physician | 207RI0200X | 45091 | AZ | Primary |
Addresses
Primary practice location
14502 W Meeker Blvd
Physician Is a Hosptialist Only
Sun City West, AZ 85375-5282
Mailing address
4410 W Union Hills Dr
# 7, PMB # 280
Glendale, AZ 85308-1660
Phone (623) 974-6611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 664569 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 974-6611
Hospital & facility affiliations
- Banner del E. Webb Medical Center
- Honor Health John C. Lincoln Medical Center
- Banner - University Medical Center Phoenix
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.06 of 100
- Quality
- 80.9
- Improvement activities
- 0
- Cost
- 75.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203365 | LA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Sea Infectious Diseases, LLC | Infectious Disease | Current | Accepting new patients |
Locations
4410 W Union Hills Dr
Ste 7
Glendale, AZ 85308
Phone (203) 632-6595
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
#A
Sun City West, AZ 85375
Phone (206) 290-2756
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Sun City West, AZ
- NPI 1285910943
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1083828750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 W UNION HILLS DR",
"address_2": "# 7, PMB # 280",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081660",
"telephone_number": "623-974-6611",
"fax_number": "623-974-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 W MEEKER BLVD",
"address_2": "PHYSICIAN IS A HOSPTIALIST ONLY",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755282",
"telephone_number": "206-290-2756",
"fax_number": "623-974-9434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRU",
"first_name": "SAMUEL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "LA",
"license": "203365",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AZ",
"license": "45091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "664569",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.